Spraying Startup Checklist Form
Complete this Spraying Startup Checklist Form to ensure all operational and safety requirements are met before beginning spraying activities.
Date of Startup Checklist
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name of Responsible Operator
*
First Name
Last Name
Equipment Inspected and Ready
*
All equipment functional
Minor issues noted
Major issues—do not proceed
Personal Protective Equipment (PPE) Worn
*
Respirator
Protective suit
Gloves
Goggles
Boots
Other
Chemical Inventory Checked and Logged
*
All chemicals accounted for
Some chemicals missing
Inventory not checked
Weather Conditions
*
Suitable for spraying
Marginal—proceed with caution
Unsuitable—do not spray
Sprayer Calibration Completed
*
Yes
No
Crew Briefed on Safety Procedures
*
Yes
No
Environmental Precautions Taken
*
Buffer zones established
Nearby water sources protected
Non-target areas shielded
Other
Additional Notes or Issues
Submit Checklist
Should be Empty: